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Circulating growth differentiation factor 15 is increased preceding preeclampsia diagnosis: Implications as a disease biomarker

Cruickshank, Tess (författare)
Mercy Hosp Women, Translat Obstet Grp, Heidelberg, Vic, Australia.;Mercy Hosp Women, Dept Obstet & Gynaecol, Heidelberg, Vic, Australia.
Macdonald, Teresa M. (författare)
Mercy Hosp Women, Dept Obstet & Gynaecol, Heidelberg, Vic, Australia.;Mercy Hosp Women, Mercy Perinatal, Heidelberg, Vic, Australia.
Walker, Susan P. (författare)
Mercy Hosp Women, Dept Obstet & Gynaecol, Heidelberg, Vic, Australia.;Mercy Hosp Women, Mercy Perinatal, Heidelberg, Vic, Australia.
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Keenan, Emerson (författare)
Mercy Hosp Women, Dept Obstet & Gynaecol, Heidelberg, Vic, Australia.
Dane, Kirsten (författare)
Mercy Hosp Women, Mercy Perinatal, Heidelberg, Vic, Australia.
Middleton, Anna (författare)
Mercy Hosp Women, Dept Obstet & Gynaecol, Heidelberg, Vic, Australia.;Mercy Hosp Women, Mercy Perinatal, Heidelberg, Vic, Australia.
Kyritsis, Valerie (författare)
Mercy Hosp Women, Mercy Perinatal, Heidelberg, Vic, Australia.
Myers, Jenny (författare)
Univ Manchester, St Marys Hosp, Manchester Acad Hlth Sci Ctr, Manchester, Lancs, England.
Cluver, Catherine (författare)
Mercy Hosp Women, Translat Obstet Grp, Heidelberg, Vic, Australia.;Mercy Hosp Women, Mercy Perinatal, Heidelberg, Vic, Australia.;Univ Stellenbosch, Tygerberg Hosp, Dept Obstet & Gynecol, Cape Town, South Africa.
Hastie, Roxanne (författare)
Mercy Hosp Women, Translat Obstet Grp, Heidelberg, Vic, Australia.;Mercy Hosp Women, Dept Obstet & Gynaecol, Heidelberg, Vic, Australia.;Mercy Hosp Women, Mercy Perinatal, Heidelberg, Vic, Australia.
Bergman, Lina, 1982 (författare)
Uppsala universitet,Gothenburg University,Göteborgs universitet,Institutionen för kliniska vetenskaper, Avdelningen för obstetrik och gynekologi,Institute of Clinical Sciences, Department of Obstetrics and Gynecology,Klinisk obstetrik,Univ Stellenbosch, Tygerberg Hosp, Dept Obstet & Gynecol, Cape Town, South Africa.;Sahlgrenska Acad Univ Gothenburg, Dept Obstet, Gothenburg, Sweden.;Sahlgrenska Acad Univ Gothenburg, Inst Clin Sci, Gothenburg, Sweden.
Garcha, Damanpreet (författare)
Mercy Hosp Women, Translat Obstet Grp, Heidelberg, Vic, Australia.;Mercy Hosp Women, Dept Obstet & Gynaecol, Heidelberg, Vic, Australia.
Cannon, Ping (författare)
Mercy Hosp Women, Translat Obstet Grp, Heidelberg, Vic, Australia.;Mercy Hosp Women, Dept Obstet & Gynaecol, Heidelberg, Vic, Australia.
Murray, Elizabeth (författare)
Mercy Hosp Women, Translat Obstet Grp, Heidelberg, Vic, Australia.;Mercy Hosp Women, Dept Obstet & Gynaecol, Heidelberg, Vic, Australia.
Nguyen, Tuong Vi (författare)
Mercy Hosp Women, Translat Obstet Grp, Heidelberg, Vic, Australia.;Mercy Hosp Women, Dept Obstet & Gynaecol, Heidelberg, Vic, Australia.
Hiscock, Richard (författare)
Mercy Hosp Women, Dept Obstet & Gynaecol, Heidelberg, Vic, Australia.
Pritchard, Natasha (författare)
Mercy Hosp Women, Translat Obstet Grp, Heidelberg, Vic, Australia.;Mercy Hosp Women, Dept Obstet & Gynaecol, Heidelberg, Vic, Australia.;Mercy Hosp Women, Mercy Perinatal, Heidelberg, Vic, Australia.
Hannan, Natalie J. (författare)
Mercy Hosp Women, Translat Obstet Grp, Heidelberg, Vic, Australia.;Mercy Hosp Women, Dept Obstet & Gynaecol, Heidelberg, Vic, Australia.;Mercy Hosp Women, Mercy Perinatal, Heidelberg, Vic, Australia.
Tong, Stephen (författare)
Mercy Hosp Women, Translat Obstet Grp, Heidelberg, Vic, Australia.;Mercy Hosp Women, Dept Obstet & Gynaecol, Heidelberg, Vic, Australia.;Mercy Hosp Women, Mercy Perinatal, Heidelberg, Vic, Australia.
Kaitu’u-Lino, Tu’Uhevaha J. (författare)
Mercy Hosp Women, Translat Obstet Grp, Heidelberg, Vic, Australia.;Mercy Hosp Women, Dept Obstet & Gynaecol, Heidelberg, Vic, Australia.;Mercy Hosp Women, Mercy Perinatal, Heidelberg, Vic, Australia.
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Mercy Hosp Women, Translat Obstet Grp, Heidelberg, Vic, Australia;Mercy Hosp Women, Dept Obstet & Gynaecol, Heidelberg, Vic, Australia. Mercy Hosp Women, Dept Obstet & Gynaecol, Heidelberg, Vic, Australia.;Mercy Hosp Women, Mercy Perinatal, Heidelberg, Vic, Australia. (creator_code:org_t)
John Wiley & Sons, 2021
2021
Engelska.
Ingår i: Journal of the American Heart Association. - : John Wiley & Sons. - 2047-9980. ; 10:16
Relaterad länk:
https://doi.org/10.1...
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https://uu.diva-port... (primary) (Raw object)
https://gup.ub.gu.se...
https://doi.org/10.1...
https://urn.kb.se/re...
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  • Tidskriftsartikel (refereegranskat)
Abstract Ämnesord
Stäng  
  • BACKGROUND: We investigated the biomarker potential of growth differentiation factor 15 (GDF-15), a stress response protein highly expressed in placenta, to predict preeclampsia. METHODS AND RESULTS: In 2 prospective cohorts (cohort 1: 960 controls, 39 women who developed preeclampsia; cohort 2: 950 controls, 41 developed preeclampsia), plasma concentrations of GDF-15 at 36 weeks’ gestation were significantly increased among those who developed preeclampsia (P<0.001), area under the receiver operating characteristic curves (AUC) of 0.66 and 0.71, respectively. In cohort 2 a ratio of sFlt-1/PlGF (a clinical biomarker for preeclampsia) had a sensitivity of 61.0% at 83.2% specificity to predict those who will develop preeclampsia (AUC of 0.79). A ratio of GDF-15×sFlt-1/PlGF yielded a sensitivity of 68.3% at 83.2% specificity (AUC of 0.82). GDF-15 was consistently elevated across a number of international cohorts: levels were higher in placenta and blood from women delivering <34 weeks’ gestation due to preterm preeclampsia in Melbourne, Australia; and in the blood at 26 to 32 weeks’ gestation among 57 women attending the Manchester Antenatal Vascular Service (MAViS, UK) who developed preeclampsia (P=0.0002), compared with 176 controls. In the Preeclampsia Obstetric adVerse Events biobank (PROVE, South Africa), plasma GDF-15 was significantly increased in women with preec-lampsia with severe features (P=0.02; n=14) compared to controls (n=14). CONCLUSIONS: We conclude circulating GDF-15 is elevated among women more likely to develop preeclampsia or diagnosed with the condition. It may have value as a clinical biomarker, including the potential to improve the sensitivity of sFlt-1/PlGF ratio.

Ämnesord

MEDICIN OCH HÄLSOVETENSKAP  -- Klinisk medicin -- Reproduktionsmedicin och gynekologi (hsv//swe)
MEDICAL AND HEALTH SCIENCES  -- Clinical Medicine -- Obstetrics, Gynaecology and Reproductive Medicine (hsv//eng)

Nyckelord

Biomarker
Placental growth factor
Preeclampsia
Pregnancy
biomarker

Publikations- och innehållstyp

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art (ämneskategori)

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